Otero, Lindsey E

Otero, Lindsey E is an individual health care provider with primary practice located at 509 Olde Waterford Way Suite 300, Leland NC 28451-4125. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Otero, Lindsey E can be contacted via phone (910) 383-0100.

Contact Information

Primary practice address
509 Olde Waterford Way Suite 300 Leland NC 28451-4125
Fax: (910) 383-0121
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 8058 North Carolina

Profile Details

NPI number 1194824094
LBN Legal business name Otero, Lindsey E
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194824094 NPPES
North Carolina MEDICAID 5901280

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